Fig. 1From: Application of depithelized gracilis adipofascial flap for pelvic floor reconstruction after pelvic exenterationa Pelvic floor defect after pelvic exenteration and design of gracilis flaps on the inner side of both thighs. b The flap is freed with the proximal end of the muscle as a pedicle. c The skin was removed, and the muscle and subcutaneous tissues of the fascia were retained to prepare the gracilis adipofascial flap. The flap was rotated at 180° into the pelvic floor defect through the subcutaneous tunnel. d The pelvic floor defect was repaired with the gracilis adipofascial flap. e The recipient and donor sites were sutured. f 8 months postoperatively. g Gynecological MRI indicated good survival of the muscle flap, as marked by the white arrow (preoperative on the left side and postoperative 4 months on the right side)Back to article page